Anderson Cherokee Community Enrichment Services in Jacksonville - Counselor
Anderson Cherokee Community Enrichment Services - NPI 1710015201
Anderson Cherokee Community Enrichment Services is a Counselor in Jacksonville, Texas. Anderson Cherokee Community Enrichment Services practices all healthcare services and medical treatments related to Counselor. The NPI Number for Anderson Cherokee Community Enrichment Services is 1710015201. The last update date is 2022-07-15.
Anderson Cherokee Community Enrichment Services's current location address is 1011 College Ave, Jacksonville, Texas. You can contact this provider via phone number 9035899000. The mailing address for Anderson Cherokee Community Enrichment Services is 1011 College Ave, Jacksonville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anderson Cherokee Community Enrichment Services |
|---|---|
| Address | 1011 College Ave, Jacksonville, Texas |
| Phone Number | 9035899000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REIMBURSEM |
|---|---|
| Authorized Official Name | Strom Dianna |
| Telephone Number | 9035899000 |
NPI Number Detail
| NPI Number | 1710015201 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2022-07-15 |
Provider Mailing Address Detail
| Address | 1011 College Ave |
|---|---|
| City | Jacksonville |
| State | Texas (TX) |
| Post Code | 757663307 |
| Phone Number | 9035899000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 17029 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00T09Z | TX | BLUE CROSS BLUE SHIELD | |
| 111411803 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Anderson Cherokee Community Enrichment Services?
The Anderson Cherokee Community Enrichment Services has been issued the NPI (National Provider Identifier) 1710015201 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Anderson Cherokee Community Enrichment Services located?
The Anderson Cherokee Community Enrichment Services is located at 1011 College Ave, Jacksonville, TX 757663307.
What is Anderson Cherokee Community Enrichment Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Anderson Cherokee Community Enrichment Services's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710015201 to Anderson Cherokee Community Enrichment Services?
The Centers for Medicare & Medicaid Services assigned the 1710015201 to Anderson Cherokee Community Enrichment Services on 2007-02-28.
As of what date was the information pertaining to Anderson Cherokee Community Enrichment Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Anderson Cherokee Community Enrichment Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-15.